《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (02): 193-195.

• 社区康复 • 上一篇    下一篇

1574例社区门诊高血压病血压控制不达标状况及原因探讨

毛伯根; 杨曼瑾; 薛敏; 张华; 沈铿慈; 张玉媛   

  1. 上海市闸北区临汾医院内科,上海市 200435
  • 收稿日期:2007-06-05 出版日期:2008-02-01 发布日期:2008-02-01

Status of Blood Pressure Controlling in 1574 Community Outpatient with Hypertension

MAO Bo-gen, YANG Man-jin, XUE Min, et al.   

  1. The Department of Internal Medicine, the Linfen Hospital of Zhabei District of Shanghai City, Shanghai 200435, China
  • Received:2007-06-05 Published:2008-02-01 Online:2008-02-01

PDF (PC)

被引次数

28

摘要： 目的探讨社区门诊高血压病治疗中,血压控制不达标的原因。方法2001年1月～2006年12月,在本社区门诊符合中国高血压防治指南诊断标准的高血压患者共2798例。在治疗过程中,对其中1574例经反复诊治血压仍处于不达标状态的患者,采用询问病情、随访的方法分析不达标的原因。结果血压控制不达标主要与下列因素有关:患者依从性差、不积极进行生活方式的干预、不严格按照医嘱服药治疗;医护人员对高血压病的防治业务欠熟悉、治疗不够规范。结论患者对高血压病知识了解认识不足、依从性差、治疗不够规范是社区门诊高血压病患者控制不达标的主要原因。

关键词: 社区门诊, 高血压病, 控制, 达标

Abstract: Objective To investigate the reasons of blood pressure not reached standard in community outpatients with hypertension.Methods During January 2001 to December 2006,2798 patients fitting the China hypertension guide standard providing prevention and curing were involved in this study.From them,1574 cases were treated repeatedly,and the blood pressure did not continuously reach the controlled standard.The reasons were analyzed by regular visiting and correspondence with patients.Results The reasons of blood pressure not reached controlled standard related with chiefly the following factors:patient had bad compliance,and not positively intervened the way of life,and not took medicine according to the doctor's advice;doctors were not familiar with the methods of preventing hypertension and the treatment was nonstandrad.Conclusion The reasons of blood pressure not reaching standard in community outpatients with hypertension mainly are that the patients have poor knowledge about hypertension and compliance,and the treatment is nonstandrad.

Key words: community outpatient service, hypertension, control, reaching the standard